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HomeMy WebLinkAbout0051 WHITE MOSS DRIVE - Health �.,5 r WHITEMOS; v2, A= 1 5- a12 I i ofZN to 'TOWN OF BARNSTA13LE t � OFFICE OF i lAEIlB& 3 BOARD OF HEALTH 0 NAY 0'. 367 MAIN STREET HYANNIS, MASS. 02601 , v I l Sewage Permit # T7 - 7i Applicant �-- Proposed Insta er: The plan for the on-site .sewage disposal syste at has been approved with the condition that the design engineer must be on-site- and supervise installation as well as certify in writing that the 'system was installed in strict accordance to the approved plan. Approved By Date CvcLL r� OU, ILZO ram: Lou i ,i r No Fm3 ` THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ...........✓L'K� .........OF.......blIkA).5 1` .6 !_.'--' ApplirFation for Dispas al No �) or Cfnn,�trnr#inn amit Application is hereby made for a Permit to Construct ( Repair ( ) an Individual Sewage Disposal System at: . l�.l.... ...!!ull.. r_../'_.(65 .1�.Jrtj t�=1tI1C�. . . �e.. '.1! .................... Locat Addr or Lot No O ner Address t ........................... • •-- Size Lot 1 Installer •- - � Address �— - Type of Building Expansion Attic Q Garbage5 __Sq. feet Dwelling—No. of Bedrooms............ p (N ) Grinder QVO) Other—T e of Building No. of ersons____________________________ Showers — ( ) P., YP Yg ---------------------------- P -----------•--(---->•------Cafeteria---------- dOther fixtures ............... ............•-•---•----•--------------•-••-•------••-•-----•-------•-•------- W Design Flow...........5_5__.......................gallons per person per day. Total daily flow____________.__•-a__'___.................gallons. 1:4 Septic Tank—Liquid capacity._! __gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-----_------------- Diameter.................... Depth below inlet.................... Total leaching area...._.............sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by—VIV ( r1G __ / 1CL'.�. .__ Date_________________ p�,�/, Test Pit ,'�1 o. I.......2 ___minutes per inch th of Test Pit____________________ Dep to ground water.__/,�1/e..'.�.__...__. GXq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R; 0 ---- Q Description of Soil----- dip.?_-It-- ... ....-•-----•-------•-----••-•----••------------••-•-••-----•---------••----•-•--••---------------- A� �'s /___�_ U ._______________________________________ ___ UNature of Repairs or Alterations—Answer when applicable_.______*t.%dr,ki 0 �`� �� A lI ER T�Fii _t4 WRITU --------------------------•-------------------•----------•---•--••---------------.._._..:_.......-----•--- _ic ca_TPhA WA�__���fi_fi_►���� IN......................... ..... Agreement: CCOORDANCE TO PLAN. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with provisions of i T'the p 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been • ued by the board of health. Si ed ----- ---........ ----•- Application Approved By....................... _... -Z ------------------ •------ -------- D ate Application Disapproved for the following reasons:--............................................................................................................. .............. ----•--...--•--....----._...----------•-•••-----------.....--------....-----.......----•-------------------•------•-------••-----•-------------------------•--------•--•----•...------ �— Date PermitNo........... ......... Issued....................................................... Date Fps.-... THE COMMONWEALTH.OF MASSACHUSETTS BOARD OF HEALTH -'�)n j • [ �+i ,' "F .. mod,✓F .r<' ..............t'fvl.fis�.�}-f. ./..........OF..... Applira#ion. for Bh4posal Vor ' Tomitrurtiun 1hrmit Application is hereby made for a Permit to Construct (' ) or Repair ( ) an Individual Sewage Disposal System at _ _ ................t ' .. ._..��1Tr_i t, -__� tll r a �.f { r„` C ' .F,�.i I �j :' L ...................... Locatien Addrg , rr'"?/` p•_�; or Lo'. y j / F [ f h n1.�.... .... I................. ......................... ...t�...�ro�iAk..c:.4_�� ...... -.E.f._`ae'_ t.{.:1 Y.Y. 'aa- „y / Address . ...... L( s... .. ..cr f ........................... . ....5.Af_ Installer Address Q Type of Building Size Lot----------------------------Sq. feet U Dwelling—No. of.Bedrooms.............3>........................Expansion Attic (NO) Garbage Grinder QV ) 'Other—Type of Building .......... No. of persons............................. Showers Cafeteria `Other fixtures --------------------------•---•----•---•----------------•---......-•-••-••--•-••-•-•--•-••-•-•-...•••--.....-•-•--•-•-•---••-•-•--•--._........-_-•-- w Design Flow...:....... .........................gallons per person per day. Total daily flow............. . ..................gallons. G� Septic Tank—Liquid capacity.. /)_.gallons Length ............... Width................ Diameter................ Depth................ D sposal Trench—.\To._-__................ Width.................... Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No.......:------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.-JXvil� .%:�t.l�' � r 6r'` �r`�" _ Date........................................ Test Pit No. L.... .........minutes per inch 1?�pth of Test Pit .................. Depth to ground water........................ r%4 Test Pit No. 2.-::............minutes per inch Depth of Test Pit.................... Depth to ground water........................ Q+' -----------------------------------------------•-•-- ........................................................................................... 0 Description of Soil.............................. .........::............. c, ..................................................-...................................................................................................................................................... w UNature of Repairs or Alterations—Answer when applicable....__......:..:................................................................................ -----------------------------•----••------------•------•----•---------------_--------••-•-•--•--...--•-•-•......---•--------------------------•--------•-----------------------•--•-•-••-_-----..._---•- Agreement: The undersigned agrees to install the afor edescribed Individual Sewage Disposal System in accordance with the provisions of TTTLE 5- of the State Sanitary Code—The undersigned further agrees not to place the system in operation,until a Certificate of Compliance has been rued by the board of health. .............. .. a te Application Approved. By................. �.1`���:_ .Lf��r=-�-••---• !2� Date Application Disapproved for the following reasons:.......... ............................................................•--------------•- Date Permit No........ ..�.-- . -------•--- Issued-.....----•-----•--------•---------•-.... ------ + Date' , THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - err if irtt# of f�rrm r�iatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed « or Repaired ( } y `.'. - ... . r x1 . __ f (--------------- Est------------ eS - r� •? J t /!t 4Fif +�tf 't{ faller `jGC - � fI l has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit ..... dated--- ------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE 'SYSTEM WILL FUNCTION SATISFACTORY. DATE. .......................... Inspector-- _�...r- �...... :......... )aSIGNIPJG--ENGINEER MUST SUPERVIS' THE COMMONWEALTH OF MASSACHUSETTSALLATION AND CERTIFY IN WRITIW HE SYSTEM WAS INSTALLED IN STRIC BOARD OF HEALTH 'OF _ O'DANCE TO PLAN. No U ~ P ..�1.b.� r�.........OF............ �.?�f ................... 77 ri� o. FE 1-:. ............ Permission is hereby granted_.......x'.: ...°.......................t ' f to Construct 0/) or Repair ( ) an Individual Sewage Disposal System _ d ......at NO.... ____t.. . ._..__: ......................................! ___rr / S �. Street f as shown on the application for Disposal Works Construction Permit No D/4te __ _!: ._�. .' �!.._....._. -- Board of Health DATE.... . I'--•-- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS/ TOWN OF BARNSTABLE ✓ LOCATION 3 iZF 7S bQ,SEWAGE # VILLAGE MRiZS1"���5 �u-S ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. b)pjse ouc -7 1 3 t k SEPTIC TANK CAPACITY ( 00® �'�d$ (,�-� S NLEACHING FACILITYAtype) "� (size) OCR (�d-5 NO. OF BEDROOMS PRIVATE WELL ORtU:BLIC WATER BUILDER OR OWNE C6 p-p DATE PERMIT ISSUED: �'v J - DATE •._COMPLIANCE ISSUED: �-- VARIANCE GRANTED: Yes No 1 �4 wT 3S �1 �y LEVY, ELDREDGE & WAGNER ASSOCIATES, INC. ENGINEERS-LANDSCAPE ARCHITECTS-PLANNERS LAND SURVEYORS 889 WEST MAIN STREET CENTERVILLE,MASSACHUSETTS 02632 (617)775-2244 May 28,1987 Town of Barnstable Board of Health 367 Main Street Hyannis, MA. 02601 Subj : Septic System Lot 35 White Moss Dr. Dear Sir: Please be advised that the Septic System at subject location was essentially built according to the Proposed Plot Plan dated January 8,1987 . A field decision was made to rotate the Septic Tank and use the reserve location for the primary pit. In light of this we have relocated the "Reserve Pit" . See attached field location plan. Very truly yours, Y ELDREDGE & WAGNER ASSOCIATES (,A - Pa A. Levy P.E. PAL/mlw enc: 1032 88 WAVERLY STREET FRAMINGHAM,MASSACHUSETTS 01701 H� Bate 1 1. �u 1 � . t �4S''x t ) x.• 't .'irr. Z Vt w {frt 4r3'1 1 w ��§ �t � kt � II r ,r i�a �> Trfrt •. rt z aS'gyro .. P ^., i glee • ` e1 e �. OQ ' J (]� .. 13..,p'f+GF�1OD�► �` 'a o.� 3�' ... 5t L i c ,-s i . 21 Ott . � y iSoSS S rotilpL� AL �-� I`� 6S S (5o eN . t ^ WPM LEGEND EXISTING SPOT ELEVATION 0 } g9as� PROPOSED SPOT ELEVATION , DAVID P. r n MARIANO rPt X � ROBIN EXiSTWG-'CO,mTOvR CIVIL; ==;Eat ✓ WPOSED CONTOUR 0 No,31116 ` NOTE: THE LOCATION OF ANY UNDERGROUND ��o��►S'T ��',<�; Y. o•3 ^, SEWERAGE,WELLS, OR OTHER UTILITIES SHOWN ON F s TER oQ r THIS PLAN IS APPROXIMATE ONLY AS DETERMINED �Q at Aeaoe ;� FROM RECORDS AND/OR VERBAL INFORMATION. ' _ THE CONTRACTOR IS RESPONSIBLE FOR THE VERIFICATION OF'THE EXISTING LOCATIONS IN r r THE FIELD. . �, to RE NGI F :I R A D EY >x' OK .aIIEE�RS—LANDSCAPE AHITECTS Jo F. f?LANN RS: . AND Sl}R EYORS .D r iT is+ , Ry �.� t b ar j �',9 .a E,t r •�'' t .tjp'� .k a-.. r t �, , ;, ', I; • %X�'� �� }.fq a V f?���d x � ",p-F,7'r �r Y T-� /yy/�yye/��/1��1��,,/y/y���� /wFw9^^y�T .:`p�.{r©�`�'q �//� y: �t n. ,.�j{ ` 3 �iPM/'.M ES .C`p�►�17� �/��/�i/I►MfI+�� �^.t'° i/1 /l� �r 4"g , 'F1h j �j iT !! 9��.''I�` e• 1Re4tlYMTMr �`:A R![Trw} !!q..""` '', i / w!t Sk. r� IV0TF /F -F/7-HER 755/,CSEP7/C 7AAI C.•OR LEi4CN/�YG P/7 QRe MORE TNf!/V /2"dFLON/ � /p =r M/A/. 4"D/.9. GRAv�, A 24'1�/AMET.ER 'COiyC�FETLC •�Oi/gR ------ ScyEpULE to SWAL,L &IF ,9ROUG, 7- TO 4-TA -!,V .+tXTRA CONCAE E / P.V.C. P/.�E -iE.4VY CA ST /le01V CC'NER sh41-L- L�F ��SE.D M/N. P/TGN ;e•'- CO �BPERFT /l=//V Z>R/VEIIVAY 2 J MiN. CONCRL�TE o A mRAOE CO✓ER CG EAN .SANG ` = - - ar 5CN6�t1t,� rf .�.2. 2*LAY.ER ��y� � 0 0 0 ~ 4 o �� O /�a -T ,8" 'b M/N.ID/TGN 1W—O_ G.4L. s o • . • • • • • I e o4a ` -m Jl' r. S�PT/C TA/Vf� D/ST. o s • I • • • • • • • • e a q WASHED STONE �r s o ,°D I • •EFFEcriv�' ' ` : d 3 a - I /2 _ o a t • • pFpTN • • • • • v o 14�A3NED STOiYE O it k-!N/�•,�I�T ��EdiA7Y®NS //3 x /. = �q/3o,, �cT��� ► � • • •/S/ X .2.5" 37Z. • • e � ' e 40 ST SEEPA. GE • • •• •�y PRECA • • • P/T E4!llVO 0 CjP/ 7, ; 8 /NY,ERT AT .Ol//,LD/A/G /-d-,�,,���FT 6 FT O/f1M. INLET SD"PT/C TANK 2-FT. F7 l7/.41►9• C(SEE TABUL.4T')ow� OUTLET SERT/C TANK PT• INI,,ET DISTR/A3UT/ON BOX /'�3. O PT GR0vV0 WATER TABLE Ol/TLETD/STR/B[/TION BOX /O'2r 8 Fy SECT/ON OF INLET LEACHINIr /-/T o� /• 8 Fr. TA5111.A"7lON LEACH11V4rw. PI T SALE %4". = /-O• DIMENSION A �'T. AESlGN CRITeR/r4 DIAf.EIVS/aN AFT• NUA9�ER OF®EDRoOMS 3 DIMENSION GAReAG.Eo/SR05AJ- trN/r o / SO/L. L.OG �D/L 7"E5T r w TOTAL ES T TIMAED I°LOt-i/ j3—O G.4L:1DAy SOIL TEST�I SOIL TEST�� A(UM8ER'OF GL�ACK/NG PITS 7'fST S/lDE Z.--AcHlNG PEI?P/T Z,5 FT. T/'9 / O R/ g'4 RESULTS WITNESSED BY :�uBSDi[- RERCaLAT/OJ!/ /2RTE ! BOTTOM L�r9C/f/NG�Ls1Z l�/T_LL _so AT: i TOTAL.LEAChI/NG AREA _.S PENCOLATION RAr&A RESER&-5ZZA CHI/1/GAREA SQ. FT. CLRS/ a, pp 6—l z a ` �a DAV'I D P.. TTY�d sA,v o La 7 :3s > /TF ass X MARIANO � CIVIL No.31115 LEVY& ELDREDG.E ASSC�CIAAtES Of T- L 889 WEST MAIN STREET CENTERVILLE MASSA N.0 cv T0U/V P W,�47&R 0!&C0U/V7ER'EO ' �7 GhOlJNO Lti/AT�.Q AT ELEt/. Jole .. us rn.0'..y.. ♦Yv,,..'rtPK14 Rw,w•,•'tft r§f'::AW^N:..'altrp.}nr.rer"..�':n• r.axur.-..^ }. .wa-<a f .• a r.rvs.ri.wviM+. {��,f��J .SrTItlFsy rA, { h Z A e R S,Yr 4 x K6ra,(a��srasa i r�E4 r) �' 2 5J 1 f v ` k t � I a�,v v� eS; tEi 7 tt r / at" .11" Iff— ` e! h R�SCX•V� ',, e ; x' �� � —�� t• rt � 31' e ,M E LoT 35 ;► x i 4q, � N Z.l� �• foTt.B � �F> zx M CSq�wi�B� D'R kv r ;t a 3 Zp i CERTIFY THAT THE SHOWN ON THIS PLAN IS LOCATED s ED ON-THE GROUND. ` AS ]NDICATEO y, 5rti ,z 4 3� f . DATE REGISTERED LAND SURVEYOR i,., I.EVY`6 EL 'REDGE ASSOCIATES, INC. CLIENT � ����0 ED , PLOT ' M W'�� ` f �� ENGINEERS LANDSCAPE ARCHLTECTS JOB NQ, ,(03, PLANNERS LAND`rSURVEYORS CC } ' ! DR.•EY a . M�.I�ii. � TA > 5889 WE MPIN...STREET CHK0.9Ys ;aARN.STA,��.e', / tA''i NTER I A' 02632 ` �• SHE E'T MJ_. SCALER a�- y nA*rir ''/ %9 ��%� ��. "�45 S 'Y�� T �//,, V�, �)� ��`� ����� -,>..,. i